- Replay
- After one clear, New Game turns yellow and starts a replay that keeps what you unlocked.
- Extra weapons
- Two: the Chainsaw and the Hyper Spray.
- Extra items
- The four Rebirth items, the Dog Key and, in the expanded versions, the Blue Gem.
- 10 stars
- Unlocks the Green Hyper Spray. The guides disagree on two of the requirements.
How unlocking works
After one clear
- Bullet Adjust: one guide says one clear opens both x2 and x3, which multiply the ammo in every pickup. Set it in the hidden Extra Options menu (L1 or R1 on the Options screen).
- Noise Effect: one guide says one clear lets you turn off the grainy film filter, in the same menu. A 2001 review says the first PS2 release has no such switch.
- Chainsaw: two guides agree it appears after one clear, in a stack of logs on the path just after the graveyard. The Weapons page has one more condition that only one of them gives.
- The four Rebirth items: the White Chrism, Lost Memories, the Obsidian Goblet and Crimson Ceremony. See the Endings page for where each one is.
- A clue memo: one guide says a note on the sewing table in room 205 of Wood Side Apartments hints at one main ending you have not seen yet. Once you have all three, it stops appearing.
Unlocked later
Where the guides differ on Extra
- Choosing Extra: Silent Hill Memories says you only need to pick Hard Riddle; the Silent Hill Wiki on Fandom says both Action and Riddle must be set to Hard.
The 10-star ranking
| Category | What it takes |
|---|---|
| Action Level | Hard |
| Riddle Level | Hard or Extra |
| Ending this run | Does not matter; Dog or UFO are the quickest, since they skip the last two bosses |
| Endings on the save | Silent Hill Memories: Leave, In Water, Maria, Rebirth and Dog are enough for full marks, and other mixes also work. The Silent Hill Wiki on Fandom lists 4/4 (+3), every ending in the expanded version. |
| Saves | 0 to 2 |
| Total time | Under 3 hours |
| Items collected | Silent Hill Memories: it is a formula, so the number shifts, but at least 160 items and the 7 extras in the first PS2 release, or 140 and all 8 extras in the expanded version. The Silent Hill Wiki on Fandom: over 150, plus the 8 special items. |
| Enemies killed with guns | 75 or more |
| Enemies killed in close combat | 75 or more |
| Boat stage | Under 1 minute 20 seconds |
| Total damage | Under 500 |
Ranking notes
- Two guides give the rows without a dispute mark. They also agree that 10 stars earns the Green Hyper Spray, which kills enemies outright.
- Tips from two guides: raise Bullet Adjust as high as it goes, and aim for the Dog or UFO ending to save time and damage.
- One guide says the ending you get this run is worth no stars at all; only the endings already on your save count.
- One guide says the PC version never counts saves against you.